软组织手术中 Ho:YAG 激光和铥光纤激光的离体研究:哪种激光适用于哪种情况?

Ex vivo study of Ho:YAG and thulium fiber lasers for soft tissue surgery: which laser for which case?

机构信息

Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.

NTO "IRE-Polus", One Vvedenskogo Sq, Fryazino, Moscow Region, Russia, 141120.

出版信息

Lasers Med Sci. 2022 Feb;37(1):149-154. doi: 10.1007/s10103-020-03189-7. Epub 2020 Nov 11.

Abstract

The goal of this study was to assess the ablation, coagulation, and carbonization characteristics of the holmium:YAG (Ho:YAG) laser and thulium fiber lasers (TFL). The Ho:YAG laser (100 W av.power), the quasi-continuous (QCW) TFL (120 W av.power), and the SuperPulsed (SP) TFL (50 W av.power) were compared on a non-frozen porcine kidney. To control the cutting speed (2 or 5 mm/s), an XY translation stage was used. The Ho:YAG was tested using E = 1.5 J and P = 40 W or P = 70 W settings. The TFL was tested using E = 1.5 J and P = 30 W or P = 60 W settings. After ex vivo incision, histological analysis was performed in order to estimate thermal damage. At 40 W, the Ho:YAG displayed a shallower cutting at 2 and 5 mm/s (1.1 ± 0.2 mm and 0.5 ± 0.2 mm, respectively) with virtually zero coagulation. While at 70 W, the minimal coagulation depth measured 0.1 ± 0.1 mm. The incisions demonstrated zero carbonization. Both the QCW and SP TFL did show effective cutting at all speeds (2.1 ± 0.2 mm and 1.3 ± 0.2 mm, respectively, at 30 W) with prominent coagulation (0.6 ± 0.1 mm and 0.4 ± 0.1 mm, respectively, at 70 W) and carbonization. Our study introduced the TFL as a novel efficient alternative for soft tissue surgery to the Ho:YAG laser. The SP TFL offers a Ho:YAG-like incision, while QCW TFL allows for fast, deep, and precise cutting with increased carbonization.

摘要

本研究旨在评估钬

钇铝石榴石(Ho:YAG)激光和掺铥光纤激光(TFL)的消融、凝固和碳化特性。在非冷冻猪肾上,对 Ho:YAG 激光(100 W 平均功率)、准连续(QCW)TFL(120 W 平均功率)和超脉冲(SP)TFL(50 W 平均功率)进行了比较。为了控制切割速度(2 或 5 mm/s),使用了一个 XY 平移台。Ho:YAG 采用 E = 1.5 J 和 P = 40 W 或 P = 70 W 两种设置进行了测试。TFL 采用 E = 1.5 J 和 P = 30 W 或 P = 60 W 两种设置进行了测试。在离体切口后,进行了组织学分析,以评估热损伤。在 40 W 时,Ho:YAG 在 2 和 5 mm/s 时显示出较浅的切割(分别为 1.1±0.2 mm 和 0.5±0.2 mm),几乎没有凝固。而在 70 W 时,最小凝固深度为 0.1±0.1 mm。切口无碳化。QCW 和 SP TFL 在所有速度下均显示出有效的切割(30 W 时分别为 2.1±0.2 mm 和 1.3±0.2 mm),并有明显的凝固(70 W 时分别为 0.6±0.1 mm 和 0.4±0.1 mm)和碳化。本研究将 TFL 作为一种新型的软组织手术替代物引入 Ho:YAG 激光。SP TFL 提供了与 Ho:YAG 激光相似的切口,而 QCW TFL 则允许进行快速、深且精确的切割,并增加碳化。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索